DR. PRADEEP KUMAR MADA M.D.
NPI 1063767861
Internal Medicine - Infectious Disease in Lawton, OK

Q: What is Pradeep Kumar Mada's NPI number?

The NPI number for Pradeep Kumar Mada is 1063767861. It was assigned to this individual provider in the NPPES registry on July 17, 2012.

Q: What is Pradeep Kumar Mada's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Active since July 17, 2012PECOS EnrolledAccepts Medicare Assignment

3201 W GORE BLVD STE 103, LAWTON, OK 73505(580) 250-6555(580) 354-5942 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Pradeep Kumar Mada M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PRADEEP KUMAR MADA M.D. (NPI 1063767861) is an individual infectious disease provider in Lawton, Oklahoma, licensed in Oklahoma (35514) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Duncan Regional Hospital, Inc, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1063767861

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameDR. PRADEEP KUMAR MADACredential: M.D.

Location Address3201 W GORE BLVD STE 103Lawton, OK 73505-6350

Mailing Address3201 W Gore Blvd Ste 103Lawton, OK 73505-6350 · (580) 250-6555

Phone(580) 250-6555

Fax(580) 354-5942

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 17, 2012

Last NPPES UpdateNovember 13, 2023

NPPES CertifiedNovember 13, 2023

✔ NPI 1063767861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in OK · 35514

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

3201 W GORE BLVD STE 103, Lawton, OK 73505

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Pradeep Kumar Mada M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921394800

PECOS Enrollment IDI20200814000315

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

583 services235 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

344 services286 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

25 services22 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

16 services16 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Duncan Regional Hospital, Inc

Acute Care Hospitals · Duncan, OK

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370023

Location2621 Whisenant DrDuncan, OK 73533 · Stephens County

Emergency services Birthing friendly

Comanche County Memorial Hospital

Acute Care Hospitals · Lawton, OK

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number370056

Location3401 West Gore BlvdLawton, OK 73505 · Comanche County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMANCHE COUNTY HEALTHCARE CORP

Internal Medicine (Infectious Disease)

3201 W GORE BLVD STE 103
LAWTON, OK 73505

Comanche County (580) 250-6555

OSU CENTER FOR HEALTH SCIENCES

Clinic/Center

3201 W GORE BLVD STE 103
LAWTON, OK 73505

Comanche County (918) 561-8306

CANDACE MICHELLE FLOURNOY NP-C

Nurse Practitioner (Family)

3201 W GORE BLVD STE 103
LAWTON, OK 73505

Comanche County (580) 250-6555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pradeep Kumar Mada's NPI number?

The NPI number for Pradeep Kumar Mada is 1063767861. It was assigned to this individual provider in the NPPES registry on July 17, 2012.

Where is Pradeep Kumar Mada located?

Pradeep Kumar Mada practices at 3201 W Gore Blvd Ste 103, Lawton, OK 73505. The listed phone number is (580) 250-6555.

What is Pradeep Kumar Mada's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Pradeep Kumar Mada enrolled in Medicare?

Yes. Pradeep Kumar Mada is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Pradeep Kumar Mada accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Pradeep Kumar Mada as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Pradeep Kumar Mada affiliated with any hospitals?

According to CMS data, Pradeep Kumar Mada is affiliated with Duncan Regional Hospital, Inc and Comanche County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Pradeep Kumar Mada was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.